Lifetime Counseling Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

S2018 Issued in NC

Legal business name

LIFETIME COUNSELING SERVICES, PLLC

Practice address

916 Arsenal Ave
B
Fayetteville, NC 28305-5328

Phone

(910) 864-0390

Fax

(910) 864-0396

NPI assigned

Mar 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shirley Evon Taybron, M.ED, LPCS, NBCC

Title

Professional Counselor/Owner

Phone

(910) 864-0390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1023402823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 ARSENAL AVE",
            "address_2": "B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055328",
            "telephone_number": "910-864-0390",
            "fax_number": "910-864-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 ARSENAL AVE",
            "address_2": "B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055328",
            "telephone_number": "910-864-0390",
            "fax_number": "910-864-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "TAYBRON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "EVON",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR/OWNER",
        "authorized_official_telephone_number": "910-864-0390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, LPCS, NBCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "S2018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103617",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.